Y6G-23477-67405
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Vaccination site pain — Feeling: GoodFree text: Typical post vaccination localized sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: FairFree text: Slight congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-17
Dose 2 — Pfizer-BioNTech
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-07-17
-
2021-10-16
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Office visit, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diarrhea since 23AUG21; under care of GP; appt. w/ Gastroenterologist 26OCT21. Some weight loss; appetite good; overall health otherwise is excellent; no other COVID related symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
-
2021-10-28
Dose 3 — Pfizer-BioNTechCo-administered: Tetanus
- 2022-04-17
- 2022-04-28
-
2022-10-28
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Nasal congestion, Productive cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Contracted COVID variant Omicron BA.5 post trip home from UK 7/12/2022. Returned from a subsequent trip to UK 10/12/2022 with similar symptoms- did not test. Severe chest and nasal congestion; dry cough; productive cough post 4 days; no fever.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech | |
| 3 | 2021-10-28 | Pfizer-BioNTech | Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-16 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Typical post vaccination localized soreness
Systemic reaction (other): Slight congestion
Release 10 — 6 months, dose 2
Symptoms: Diarrhea since 23AUG21; under care of GP; appt. w/ Gastroenterologist 26OCT21. Some weight loss; appetite good; overall health otherwise is excellent; no other COVID related symptoms.
Release 12 — 12 months, dose 3
Symptoms: Contracted COVID variant Omicron BA.5 post trip home from UK 7/12/2022. Returned from a subsequent trip to UK 10/12/2022 with similar symptoms- did not test. Severe chest and nasal congestion; dry cough; productive cough post 4 days; no fever.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release